VICKI SUE WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135047

License Status

NOT RENEWED

Business

First Name

VICKI SUE

Last Name

WAGNER

Business Name

VICKI SUE WAGNER

Original Issue Date

04/16/1970

Effective Date

05/19/2020

Expiration Date

08/31/2022

City

WEST SALEM

State

Zip

62476

County

EDWARDS

Ever Disciplined

LastModifiedDate

10/14/2022